目的 总结携带隐神经终末支的游离足内侧皮瓣治疗手部高压注射伤的疗效。方法 2014 年 3 月—2018 年 6 月，收治 16 例 16 指高压注射伤患者。其中男 12 例，女 4 例；年龄 21～58 岁，平均 42 岁。拇指 3 例，示指 6 例，中指 5 例，环指 2 例。高压乳胶漆注射伤 10 例，高压油枪注射伤 6 例。受伤至入院时间为 1 h～2 d，平均 6.5 h。急诊行显微外科清创；亚急诊行携带隐神经终末支的游离足内侧皮瓣修复创面，皮瓣范围 4.5 cm×3.0 cm～8.0 cm×5.0 cm。结果 术后皮瓣全部成活，未发生指端坏死或部分坏死。患者均获随访，随访时间 8～24 个月，平均 15 个月。末次随访时患指外观满意，皮瓣弹性、血运良好，指端指体饱满，远、近指间关节处横纹初显，无指体冷耐受差发生。皮瓣两点辨别觉为 5～10 mm，平均 7.5 mm。手功能采用手指关节总活动度（TAM）法评定，获优 10 指，良 4 指，可 2 指。供区无并发症发生。结论 携带隐神经终末支的游离足内侧皮瓣是治疗手部高压注射伤的一种有效方法，术后手指外形、感觉及功能恢复良好。
Citation：
贾宗海, 梁高峰, 耿朝萌, 张伟, 段超鹏, 张满盈, 董俊文, 何俊娥, 滕云升. 携带隐神经终末支的游离足内侧皮瓣在手部高压注射伤中的应用. Chinese Journal of Reparative and Reconstructive Surgery, 2020, 34(2): 270-271. doi: 10.7507/1002-1892.201907007
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Copyright © the editorial department of Chinese Journal of Reparative and Reconstructive Surgery of West China Medical Publisher. All rights reserved
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- 1. 李桂石, 阚世廉, 尹梦帆, 等. 累及手指血管鞘的高压注射伤的显微外科治疗. 中华显微外科杂志, 2013, 36(6): 575-577.
- 2. Cannon TA. High-pressure injection injuries of the hand. Orthop Clin North Am, 2016, 47(3): 617-624.
- 3. Wieder A, Lapid O, Plakht Y, et al. Long-term follow-up of high-pressure injection injuries to the hand. Plast Reconstr Surg, 2006, 117(1): 186-189.
- 4. Wong TC, Ip FK, Wu WC. High-pressure injection injuries of the hand in a Chinese population. J Hand Surg (Br), 2005, 30(6): 588-592.
- 5. del Piñal F, Herrero F, Jado E, et al. Acute thumb ischemia secondary to high-pressure injection injury: salvage by emergency decompression, radical debridement, and free hallux hemipulp transfer. J Trauma, 2001, 50(3): 571-574.
